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General NPI Number Information
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NPI Number | 1073857314
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Entity Type | Individual
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Provider Name | TOYA L TRUMBO COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 3802 KLONDIKE LN
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City | LOUISVILLE
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State | KY
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Zip | 40218-1715
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Country | US
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Telephone | 502-452-1579
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1584
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City | DANVILLE
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State | KY
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Zip | 40423-1584
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Country | US
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Telephone | 859-516-8308
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | KY-A3495
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 134861
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License Number State | KY
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